The most common services that states reporting carving out are dental services. Consistently states that carve out dental services stated that the primary reason is to improve service provision since MCOs typically do not have experience with these services.
Dental wasn’t necessarily the MCO’s core competency, so we carved it out, and it’s been running well. (State Official)
We had problems with access for dental services for kids, so we engaged a third-party administrator to focus on dental. We think it is better managed as a single program with a single vendor. (State Official)